The quick resumption of school activities is essential for psychical balance and future of the diabetic teenager. Adolescence being a generally difficult period, one needs know-how the part between the problems which are the fact of very adolescence and the vagaries of chronic illness which interfere with adolescence. In certain cases, the balance of diabetes proves to be very difficult: a strict monitoring of the treatment is seldom got at these patients', and know-how proof of suppleness is needed by simplifying the therapeutic protocols, by finding a contract with the teenager minimum (for example two daily injections of insulin pre-blended), without being too captious on blood and urinary controls.

The teenager often built in opposition to the parents and to the parental face which represents the doctor, they sometimes have interest in delegating the monitoring of the patient to a specialised nurse (for example in a m dico-social near centre), or even to a teacher informed about the contract minimum. In other cases, it is the doctor who takes back a function of " temporary holding company " . The complexity of these situations requires the presence of a p dopsychiatre in the diab tologique team.

The resumption of sports activities it also is also important. However, word "sports" include a broad palette of physical activities played in very variable intensity. It is necessary to differentiate sports-leisure (including compulsory school sports) of the competitive sport. Generally, the moderate but regular practice of one or several sports is deeply encouraged, because it contributes to diminish needs in insulin and to support a good physical form; it is of more advantageous in terms of self-confidence and of social insertion (sports of team).

For school sports, there is no release in principle to be envisaged, as far as the child could diminish his doses of insulin according to the intensity of sports (for example sports afternoons) and to take compensation (for example 10 - 15 g of hydroxides of carbon every 30 - 45 minutes of real sports activity). The master of sports must be informed about the illness of the child and be able to help him in case of hypoglycaemia.

The competitive sport asks for a specific preparation; it is a job of collaboration between the teenager, its circle, its coach and the team of diab tologie: choice of strategy in function to sports and periods of training, number of glycemias, nutrition, choice of compensation, frequency of the monitoring, etc. Objectives must be apparently fixed: the development of the personality which bring sports predominates over performance, without excluding it however. This opened attitude avoids misunderstanding and diminishes risks of dismissal of the team or of the club for deficient results. The teenager must reduce his training, or even abandon intensive training provisionally so much that diabetes is destabilised: it is particularly case during hyperglycaemia with ac tonurie. The practice of the competitive sport without glycemias is disadvised. Any high glycemia implicates a control of urines in search of an ac tonurie.

How to avoid the nocturnal hypoglycaemia linked to this sports activity?
Sports bring down the rate of blood sugar during or immediately after financial year. It is therefore necessary to recommend to envisage adapted compensation (for example in half or before the session of shower). Extended sports start progressively the reservations of glycogen of muscles. At night according to sports day, muscles reconstruct their supplies by "pumping  the blood sugar, what augments the risk of strict hypoglycaemia. In that case, strategy is principally preventive: lower doses of insulin (for example from 10 to 20 % according to intensity) for day; do not forget regular compensation during sports with check on glycemia; lower the dose of insulin in the evening (of 10 % at least); if the glycemia in the bedtime is low (<5mmol / l), it is necessary to add sugars composed (quick and slow, for example 15 g in form of dairy product and of cookie).